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31QW/EXP-NCLEX QUESTIONS FOR LEADERSHIP AND MANAGEMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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31QW/EXP-NCLEX QUESTIONS FOR LEADERSHIP AND MANAGEMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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31QW/EXP-NCLEX QUESTIONS FORLEADERSHIP AND MANAGEMENT
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
The nurse manager has asked that all staff nurses develop effective leadership competencies. How
should the staff nurses interpret this request?
1. This is an unrealistic expectation, because only managers are leaders.
2. If the nurses learn about and use relevant leadership and management theories and styles this is
possible.
3. In order to become leaders, the staff nurses will have to emphasize control, competition, and getting
the job done.
4. Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic expectation. -
ANSWER Answer:
2. If the nurses learn about and use relevant leadership and management theories and styles this is
possible.
Rationale:
1: A nurse does not need to have a formal management position with a management title to be a leader;
if nurses demonstrate leadership competencies, they are considered nurse leaders.
2: In today's health care environment, nurses must have knowledge of relevant leadership and
management theories and styles. This knowledge helps nurses emerge as leaders. Nurses are also
leaders of their own nursing practices.
3: Control, competition, and getting the job done are past theories and styles and are not as useful in
today's environment.
4: Leadership is a skill that can be learned.
Peter Drucker's view of management stimulated the shift toward the realization of the importance of
participatory organizations. Which option provides a scenario that is an example of a participatory
organization?
1. The control of the organization is centralized, and decisions are made by upper-level management.
2. Staff nurses are expected to provide support and nurturing for management's decisions.
,3. The organization's approach to leadership is autocratic and bureaucratic.
4. Staff nurses provide input into planning and changes for their own unit. - ANSWER Answer:
4. Staff nurses provide input into planning and changes for their own unit.
Rationale:
1: In participatory organizations, the control of the organization is decentralized and many decisions are
made by those "on the front lines" of the organization.
2: The theory is that the staff should be nurtured to promote greater leadership competency.
3: According to Drucker, when staff participate in the core functions of management, the organization is
more effective.
4: According to Drucker, when staff participate in the core functions of management such as planning
and changes for their own units, the organization is more effective.
Which behavior demonstrates the nurse's competency as an emotionally intelligent leader?
1. The nurse is proficient in technical skills.
2. The nurse relies on policies, not options.
3. The nurse supports team members.
4. Productivity is not a major concern. - ANSWER Answer:
3. The nurse supports team members.
Rationale:
1: While technical skill is important for all nurses, it is not a hallmark of a competent leader.
2: Chaos theory states that solutions are not always clear and policies might not always be applied easily;
other options might need to be considered.
3: In Emotional Intelligent theory, team members support each other and feel supported by the team
leader.
4: This statement reflects the country club leadership style.
Describe the primary focus of a manager in a knowledge work environment.
1. Developing the most effective teams.
, 2. Taking risks.
3. Routine work.
4. Understanding the history of the organization. - ANSWER Answer:
1. Developing the most effective teams.
Rationale:
1: The most important focus of this manager is on developing and supporting effective teams, utilizing
the knowledge of many.
2: Risk taking is a part of knowledge work, but is not the most important of this manager's tasks.
3: Knowledge work is a combination of routine and non-routine work, so the manager will have focus on
the routine. This is not the manager's most important focus.
4: Understanding the history of the organization is important as it will help the manager work within the
organization, but it is not the most important focus.
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is
concerned that older nurses may not respect the manager's authority because of the age difference.
How can this nurse manager best exercise authority?
1. Use critical thinking to solve problems on the unit.
2. Give assignments clearly, taking staff expertise into consideration.
3. Understand complex health care environments.
4. Maintain an autocratic approach to influence results. - ANSWER Answer:
2. Give assignments clearly, taking staff expertise into consideration.
Rationale:
1: Critical thinking is important for every RN, not just a manager 2: Giving clear assignments is a
characteristic of authority. The young nurse who takes staff expertise into consideration when making
assignments is likely to be more successful in leading the group.
3: Nurse managers do work in complex health care environments but must create an appropriate
organizational environment as a way of exercising authority.
4: In autocratic leadership, one person has all of the power. This is not a good approach for a younger
leader to adopt when working with a group of older, more experienced nurses.
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